Atmos C 161 User manual

Operating instructions
ATMOS C 161 Aspirator
ATMOS C 261 Aspirator
ATMOS C 161 Battery
English
2022-07 Index 01
GA1GB.310105.0

2
Table of contents
1.0 Introduction.....................................................4
1.1 Notes on operating instructions ...................................... 4
1.2 Explanation of pictures and symbols ................................. 5
1.3 Intended use ...................................................... 8
1.4 Function ......................................................... 10
1.5 Intended users.................................................... 11
1.6 Scope of delivery .................................................. 11
1.7 Transport and storage ............................................. 14
2.0 For your safety .................................................16
2.1 General safety instructions ......................................... 16
2.2 Danger for users, patients, and third parties .......................... 16
2.3 Avoiding damage to the device...................................... 18
3.0 Setting up and starting up .......................................20
3.1 Device overview – ATMOS C 161 Aspirator and ATMOS C 261 Aspirator ... 20
3.1.1 Connection .................................................... 20
3.1.2 Start-up ....................................................... 20
3.2 Device overview: ATMOS C 161 Battery ............................... 21
3.2.1 Connecting to the recharging unit ................................ 22
3.2.2 Battery charging ............................................... 23
3.2.3 Charging using the recharging unit................................ 23
3.2.4 Charging using a car connecting cable............................. 23
4.0 Operation ......................................................24
4.1 Switching on the device ............................................ 24
4.2 Switchingothedevice ............................................ 24
4.3 Suction hose ..................................................... 25
4.4 Adjusting the vacuum.............................................. 25
4.5 Suction .......................................................... 25
4.6 Hose rinsing ...................................................... 26
4.7 DDS secretion canister system ...................................... 26
4.7.1 DDSsecretioncanisterandDDSbacterialandvirallter ............. 27
4.7.2 Insertion/removaloftheDDSbacterialandvirallterandsecretion
canister ....................................................... 27
4.7.3 Connecting the suction hose ..................................... 28
4.8 Operating the Medi-Vac®........................................... 28
4.8.1 Support for Medi-Vac®secretion canister. . . . . . . . . . . . . . . . . . . . . . . . . . . 28
4.8.2 Assembling the Medi-Vac®secretion canister system ................ 28
4.8.3 Connecting the hose ............................................ 29
4.9 Operating the Serres®.............................................. 29
4.9.1 Support for the Serres®secretion canister.......................... 29
4.9.2 Assembling the Serres®secretion canister system ................... 29
4.9.3 Connecting the hose ............................................ 30
4.10 Operating the Receptal®............................................ 30
4.10.1 Support for the Receptal®secretion canister........................ 30
4.10.2 Assembling the Receptal®secretion canister system ................. 30

3
4.10.3 Connecting the hose ............................................ 31
4.11 Using the device support for standard rails (REF 313.0012.0) ............ 31
4.11.1 Mounting the device support on the standard rail and mounting the
device ........................................................ 31
4.12 Using the trolley (REF 320.0070.2) ................................... 32
4.12.1 Mounting the device on the trolley................................ 32
5.0 Cleaning/disinfection............................................33
5.1 Safety instructions for sterilisation................................... 33
5.1.1 General safety instructions ...................................... 33
5.1.2 Danger for users, patients, and third parties ....................... 33
5.1.3 Avoiding damage to the device ................................... 33
5.1.4 DDSbacterialandvirallter ..................................... 35
5.1.5 Suction hose, hose connector and vacuum hose.................... 35
5.1.6 Fingertip ...................................................... 35
5.1.7 Secretion canister .............................................. 35
5.1.8 Canister lid .................................................... 36
5.1.9 Device surface ................................................. 36
5.1.10 Accessories.................................................... 36
5.2 Oversuction ...................................................... 37
5.3 Cleaning instructions .............................................. 38
5.4 Recommended instrument disinfectants ............................. 38
5.5 Recommended surface disinfectants................................. 39
6.0 Maintenance and service ........................................40
6.1 Basic instructions ................................................. 40
6.2 Sterilisation ...................................................... 40
6.3 Handling batteries................................................. 41
6.4 Sending in the device .............................................. 42
7.0 Troubleshooting ................................................43
8.0 Accessories and consumables ....................................44
8.1 Accessories for the ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and
ATMOS C 161 Battery .............................................. 44
9.0 Technical data ..................................................46
9.1 ATMOS C 161 Aspirator, ATMOS C 261 Aspirator ....................... 46
9.2 ATMOS C 161 Battery .............................................. 47
10.0 Disposal/recycling ..............................................50
10.1 Expected service life ............................................... 50
11.0 Notes on EMC ..................................................51

4Introduction
1.0 Introduction
1.1 Notes on operating instructions
These operating instructions contain important notes on how to
operate the ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and
ATMOSC161Batterysafely,correctlyandeectively.
These operating instructions are designed for training and instructing
new operating personnel in the use of the system, and also for use as
a reference manual. This document may not be reprinted, either in
part or in whole, without written permission from ATMOS.
These operating instructions must always be kept available near
the device.
Care, periodic tests, regular cleaning and proper application are
indispensable. They guarantee the operational safety and usability of
the ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and ATMOS C 161
Battery .
Maintenance, repairs and periodic tests may only be carried out by
persons who have the appropriate technical knowledge and who are
familiar with the product. The person must possess the test devices
and original spare parts required to carry out these measures.
§
Read chapter “2.0 For your safety” on page 16 before using
thedeviceforthersttime.Thiswillhelpyoutoavoidpotentially
dangerous situations.
The ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and ATMOS C
161 Battery products bear CE marking CE 0124 in accordance with the
European Council Directive on medical devices, 93/42/EEC, and meet
the basic requirements of Annex I of the Directive.
The ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and ATMOS C
161 Battery products comply with all the applicable requirements
of Directive 2011/65/EU restricting the use of certain hazardous
substances in electrical and electronic equipment (“RoHS”).
The Declaration of Conformity and our general standard terms and
conditions can be viewed on our website at www.atmosmed.com.
ThequalitymanagementsystematATMOShasbeencertied
according to international standard EN ISO 13485.

5
Introduction
These operating instructions are valid for the following devices:
Name REF
ATMOS C 161 Aspirator/DDS 313.0000.0
ATMOS C 161 Aspirator/Medi-Vac®313.0002.0
ATMOS C 161 Aspirator/Serres®313.0004.0
ATMOS C 161 Aspirator/Receptal®313.0065.0
ATMOS C 261 Aspirator/DDS 313.0100.0
ATMOS C 261 Aspirator/Medi-Vac®313.0102.0
ATMOS C 261 Aspirator/Serres®313.0103.0
ATMOS C 261 Aspirator/Receptal®313.0165.0
ATMOS C 161 Battery/DDS 313.0400.0
ATMOS C 161 Battery/Medi-Vac®313.0402.0
ATMOS C 161 Battery/Serres®313.0403.0
ATMOS C 161 Battery/Receptal®313.0465.0
1.2 Explanation of pictures and symbols
In the operating instructions
DANGER
Warning of a danger that will result in immediate fatal or serious injury. Observe the
necessary measures.
WARNING
Warning of a danger that can cause death or serious injury. Observe the necessary
measures.
CAUTION
Warning of a danger that can cause minor injury. Observe the necessary measures.
ATTENTION
Notice of a danger that can damage the product or other objects. Observe the
necessary measures.
Warning of a danger that can cause injury or death.
Notice of potential material damage.
&Useful information on the handling of the device.
1. Action. Proceed step by step.
• List.
»Result of an action.
Move in this direction, plug in.
click Engage,checkcorrectt.

6Introduction
On device, type plate, and packaging
Follow operating instructions (blue)
Observe the operating instructions
Warning; pay special attention
This device complies with the relevant requirements of EU regulations.
This device complies with the relevant requirements of EU regulations.
GOSTCerticate(Russia)
This device complies with the relevant requirements of the Eurasian
Economic Union.
Manufacturer
Date of manufacture
CC
Date of manufacture
Country of manufacture
Distributor
REF Reference number
UDI UniqueDeviceIdentierofamedicaldevice
MD Medical device
SN Serial number
LOT Batch code
IP21
Protection against ingress of:
• SolidforeignparticlesØ≥12.5mm
• Dripping water from above
Application part type BF

7
Introduction
Professional disposal
Use-by date
Do not reuse
NON
STERILE
Not sterile
STERILE Sterile device
STERILE EO Sterilised using ethylene oxide
AUTOCLAVE
Autoclavable
PATIENT Connection of suction hose/patient
Short-term operation
Protection class II device
Fuse
On/obutton
Battery status control button
Battery operation indicator
Fragile, handle with care
Keep dry
Keep away from direct sunlight
Temperature limit
Humidity limitation
700
1060
Atmospheric pressure limitation

8Introduction
UDI application identier
(01) UDI-DI:identicationofthemanufacturerandthedevice
(10) Batch code
(11) Date of manufacture
(17) Expiry date
(21) Serial number
1.3 Intended use
Product name: ATMOS C 161 Aspirator
• ATMOS C 161 Aspirator/DDS
• ATMOS C 161 Aspirator/Medi-Vac®
• ATMOS C 161 Aspirator/Serres®
• ATMOS C 161 Aspirator/Receptal® 1.5 l
ATMOS C 261 Aspirator
• ATMOS C 261 Aspirator/DDS
• ATMOS C 261 Aspirator/Medi-Vac®
• ATMOS C 261 Aspirator/Serres®
• ATMOS C 261 Aspirator/Receptal® 1.5 l
ATMOS C 161 Battery
• ATMOS C 161 Battery/DDS
• ATMOS C 161 Battery/Medi-Vac®
• ATMOS C 161 Battery/Serres®
• ATMOS C 161 Battery/Receptal® 1.5 l
Main functions: Temporary and spontaneous suction of suction material
(includingsecretions,blood,serumuids,foodparticles)from
the oral cavity, pharynx and bronchial system
Suction during ENT treatments
Intended purpose: Suction of the upper respiratory tract and the ear
Intended users/user
proles:
• Trained medical personnel
• Non-medical users, e.g. patients and/or relatives (follow-
ingmedicalbrieng)
Intended patient
population:
Patients of all ages with and without restrictions
Medical conditions
to be diagnosed,
treated or moni-
tored:
Not applicable
Application organ: • Upper respiratory tract (nose, nasal cavity, pharynx)
• Lower respiratory tract (larynx, trachea, bronchial system)
• Ear

9
Introduction
Application time: Temporary use on the patient (<60 min)
Application site: • Home (homecare sector)
• Outpatient and hospital care
Criteria for patient
selection:
• Patientswhowillbenetfromsuctionoftheupper/lower
respiratory tract
• PatientswhowillbenetfromsuctionduringENTtreat-
ments
Indications: • In case of damage to respiratory and cough function with
disturbance of tracheal, bronchial or oral secretion elimi-
nation:
- Suction during tracheotomy
- Suction during laryngectomy
- Suction if breathing is impeded
• Suction for muscular and/or neurological disorders:
- Suction if swallowing is impeded
• Suction of blood, secretions and food particles from the
oral cavity, pharynx and bronchial system
• Suction during ENT treatments
Medical contraindi-
cations:
Not suitable for:
• Continuous operation for drainage procedures in the low
vacuum range (e.g. thoracic or wound drainage)
• Permanent endoscopic use
• Vacuum extraction
• Smoke evacuation
• Liposuction
• Emergency and rescue use
Other contraindica-
tions:
Not suitable for:
• Suction outdoors/during transport
• Suctionofammable,corrosiveorexplosivesubstances
• Suction in potentially explosive areas
Warnings: The following complications may occur during suction:
• Bleeding in the nasal pharyngeal area
• Injury to the vocal cords
• Tracheal injury
• Hypoxaemia
• Cardiovascular instability
• Bradycardia, arrhythmia and asystole (caused by vagus
stimulation)
• Tachycardia (caused by stress)
• Choking, nausea, vomiting and coughing
• Nosocomial infection of the respiratory tract
• Seizures in patients who are susceptible to cramps
The product is: Active

10 Introduction
Sterility/specic
microbial condition:
Product not sterile
Single-use product/
re-sterilisation:
The device is intended for repeat use. Some parts of the
device and its accessories are reusable. For information on
sterilisation, cleaning and disinfection, please see the operat-
ing instructions.
1.4 Function
General description
The ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and ATMOS C 161 Battery are
exceptionally handy bronchial suction devices.
The devices are mobile, portable medical suction devices designed for temporary,
preferably spontaneous suction of the upper and lower respiratory tract. The suction
material(includingsecretion,blood,serumuids,andfoodparticles)aretemporarily
collected in a collecting container and then disposed of.
Principles of operation and how it works
Thedevicesareelectrically,operatedandtaketheirmedicaleectbygenerating
vacuum and suction capacity. The devices are operated by an electromotive, mainte-
nance-free swing piston pump. During operation, the pump generates a vacuum within
the hose system and the secretion canister. This vacuum can then be used to extract
suctionmaterial(e.g.secretion,blood,serumuidsandfoodparticles).Thesuction
material collects in the secretion canister.
Thenalvacuum,andthusthesuctioncapacity,canbeadjustedusingtheinnitely
variable vacuum adjustment (mechanical regulation valve) and the vacuum gauge. An
overtemperatureshut-omechanismpreventsoverheatingofthebronchialsuction
device.
The ATMOS C 161 Aspirator/ATMOS C 261 Aspirator is a mains-powered bronchial suc-
tionunitthatmustbeconnectedtothepowersupplygridbythepowercable(230V)
for operation.
The ATMOS C 161 Battery is a bronchial suction device powered by a rechargeable bat-
tery, which can be operated either using the permanently installed rechargeable battery
oranexternalDCpowersupply(12V)asdesired.Tochargethebattery,thecharger
powercable(100–240V)needstobepluggedintothepowersupplygrid.Ifthebattery
is fully discharged, the device can be run on mains power.
Reusable secretion canister
The reusable secretion canister is mounted on the back of the device and connected
directly to the device housing via direct docking, so no inconvenient hose systems are
required. All the user needs to do is connect the suction hose. The suction material is
transported to the reusable secretion canister via the reusable suction hose. A DDS
bacterialandvirallterlocatedinthecanisterlidpreventsbacteria,virusesandliquids
fromgettingintothedevice.Inadditiontothis,amechanicaloverowstop(oatball)is
integrated into the canister lid. This prevents secretion from being accidentally sucked
intothepumphead.Theoatballrisestothetopofthesecretionuntilitblocksthe
outlet.

11
Introduction
Disposable secretion canister
The disposable secretion canister is comprised of an outer canister, a disposable
suction liner, a vacuum hose and the disposable suction hose. The disposable secretion
canister is mounted on the back of the device. The vacuum hose of the canister is
connected to the device inlet. The suction material is transported to the disposable
suction liner via the suction hose. The disposable suction liner is a single-use product.
As soon as the disposable suction liner is full, it is removed from the outer canister
and disposed of. The disposable suction liner and the disposable suction hose must
notbereused.Abacteriallterisbuiltintothedisposablesuctionliner.Thisprevents
secretion, liquid and bacteria from seeping into the device.
1.5 Intended users
The ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and ATMOS C 161 Battery may be
operated by patients themselves, a patient’s relative, the mobile care service, a nurse,
or trained medical personnel.
Suction is performed after the patient or the assistant/caregiver has been instructed by
adoctor,takingintoaccountthespecicvacuumrequireddependingonthepatient’s
age.
Theusermustbefamiliarwiththedevicepriortouse.Pleasenotethecountry-specic
requirements and regulations.
ATMOS recommends: instruction on how to operate the device must be provided by an
authorised person.
1.6 Scope of delivery
&Prior to dispatch, this ATMOS device was subjected to an extensive functional test
and has been carefully packed.
&Nevertheless, please check the contents of the shipment immediately upon receipt
to ensure it is complete (see delivery note).
313.0000.0 ATMOS C 161 Aspirator/DDS
1 x basic device
1xgrad.secretioncanister1lDDS,blue 313.0015.0
1 x secretion canister lid, DDS, blue 313.0003.0
1xhydrophobicDDSbacterialandvirallter 340.0054.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1xsuctionhose,silicone,Ø6mm,L=1.30m 000.0013.0
1xhoseconnectorforhoses,Ø6mm 000.0836.0
1 x operating instructions GA1DE.310105.0
313.0002.0 ATMOS C 161 Aspirator/Medi-Vac®
1 x basic device
1 x support for Medi-Vac®outer canister 313.0010.0
1 x Medi-Vac®outercanister1l 312.0473.0
1 x Medi-Vac®suctionliner1l 312.0474.0
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0

12 Introduction
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1 x operating instructions GA1DE.310105.0
313.0004.0 ATMOS C 161 Aspirator/Serres®
1 x basic device
1 x support for Serres®outercanister1l 313.0413.0
1 x Serres®outer canister 1 l 312.0465.0
1 x Serres®suctionliner1lwithoutgellingagent 312.0466.0
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1 x operating instructions GA1DE.310105.0
313.0065.0 ATMOS C 161 Aspirator/Receptal®1.5 l
1 x basic device
1 x support for Receptal®outer canister 313.0009.0
1 x Receptal®outercanister1.5l 310.0221.0
1 x Receptal®suctionliner1.5lwithlter 310.0222.2
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1 x operating instructions GA1DE.310105.0
313.0100.0 ATMOS C 261 Aspirator/DDS
1 x basic device
1xgrad.secretioncanister1lDDS,blue 313.0015.0
1 x secretion canister lid, DDS, blue 313.0003.0
1xhydrophobicDDSbacterialandvirallter 340.0054.0
1xsuctionhose,silicone,Ø6mm,L=1.30m 000.0013.0
1xhoseconnectorforhoses,Ø6mm 000.0836.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1 x operating instructions GA1DE.310105.0
313.0102.0 ATMOS C 261 Aspirator/Medi-Vac®
1 x basic device
1 x support for Medi-Vac®outer canister 313.0010.0
1 x Medi-Vac®outercanister1l 312.0473.0
1 x Medi-Vac®suctionliner1l 312.0474.0

13
Introduction
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1 x operating instructions GA1DE.310105.0
313.0103.0 ATMOS C 261 Aspirator/Serres®
1 x basic device
1 x support for Serres®outercanister1l 313.0413.0
1 x Serres®outer canister 1 l 312.0465.0
1 x Serres®suctionliner1lwithoutgellingagent 312.0466.0
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1 x operating instructions GA1DE.310105.0
313.0165.0 ATMOS C 261 Aspirator/Receptal®1.5 l
1 x basic device
1 x support for Receptal®outer canister 313.0009.0
1 x Receptal®outercanister1.5l 310.0221.0
1 x Receptal®suctionliner1.5lwithlter 310.0222.2
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xATMOSpowercable,3-core,safetyplug,2m 008.0866.0
1 x operating instructions GA1DE.310105.0
313.0400.0 ATMOS C 161 Battery/DDS
1 x basic device
1xgrad.secretioncanister1lDDS,blue 313.0015.0
1 x secretion canister lid, DDS, blue 313.0003.0
1xhydrophobicDDSbacterialandvirallter 340.0054.0
1xsuctionhose,silicone,Ø6mm,L=1.30m 000.0013.0
1xhoseconnectorforhoses,Ø6mm 000.0836.0
1xpowercable,2-pin,L=1.5m 008.0920.0
1 x recharging unit for ATMOS devices, with ATMOS marking 313.0089.0
1 x operating instructions GA1DE.310105.0
313.0402.0 ATMOS C 161 Battery/Medi-Vac®
1 x basic device
1 x support for Medi-Vac®outer canister 313.0010.0

14 Introduction
1 x Medi-Vac®outercanister1l 312.0473.0
1 x Medi-Vac®suctionliner1l 312.0474.0
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xpowercable,2-pin,L=1.5m 008.0920.0
1 x recharging unit for ATMOS devices, with ATMOS marking 313.0089.0
1 x operating instructions GA1DE.310105.0
313.0403.0 ATMOS C 161 Battery/Serres®
1 x basic device
1 x support for canister system Serres®313.0413.0
1 x Serres®outer canister 1 l 312.0465.0
1 x Serres®suctionliner1lwithoutgellingagent 312.0466.0
1 x vacuum hose Serres®(14,5 cm) 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xpowercable,2-pin,L=1.5m 008.0920.0
1 x recharging unit for ATMOS devices, with ATMOS marking 313.0089.0
1 x operating instructions GA1DE.310105.0
313.0465.0 ATMOS C 161 Battery/Receptal®1.5 l
1 x basic device
1 x support for Receptal®outer canister 313.0009.0
1 x Receptal®outercanister1.5l 310.0221.0
1 x Receptal®suctionliner1.5lwithlter 310.0222.2
1xsuctionhose,silicone,Ø6mm,L=0.2m 006.0009.0
1xsuctionhose,PVC,CH30,L=1.30m,non-sterile 313.0116.0
1xpowercable,2-pin,L=1.5m 008.0920.0
1 x recharging unit for ATMOS devices, with ATMOS marking 313.0089.0
1 x operating instructions GA1DE.310105.0

15
Introduction
1.7 Transport and storage
Onlytransportthedeviceinashippingcontainerwhichispaddedandoerssucient
protection.
If damage occurs during transport:
1. Document and report damages in transit.
2. Fill in form QD 434 “Customer complaint/return shipment”.
3. Send the device to ATMOS (chapter “6.2 Gerät einsenden” on page 42).
Ambient conditions for transport and storage:
• Temperature: -30 to +50 °C
• Relative humidity: 5 to 90%
• Air pressure 700 to 1060 hPa

16 For your safety
2.0 For your safety
The safety of the ATMOS C 161 Aspirator, ATMOS C 261 Aspirator and ATMOS C 161
Battery complies with all generally accepted engineering practices and the provisions of
the German Medical Devices Act.
2.1 General safety instructions
Report all serious incidents that have occurred in connection with this product to the
manufacturer and your national competent authority.
Familiarise yourself with the device in good time so that you are capable of operating it
at any time.
Only a fully functional product meets the safety requirements of users, patients
and third parties. Therefore, please observe the following instructions on your
product:
Never operate the device if it shows any obvious safety defects.
2.2 Danger for users, patients, and third parties
WARNING
Ensure that the device is always functional and ready for use!
Thepatientcouldsuocate.
• Ensure that the device is always ready for use.
• Place the device where it is easily accessible.
• Make sure that the power cable/recharging unit incl. power cable is fully functional.
• Always carry out a function check before using the device.
• ATMOS recommends always having another suction device ready at hand.
• Observe the notes on electromagnetic compatibility (EMC).
• Only use the recommended original accessories and original spare parts.
• Always use transparent suction hoses.
WARNING
Avoid misuse!
Risk of severe injury to your patient.
• Employ the device only according to its intended use.
• Never use the device for low-vacuum suction.
• Too many suction operations may cause minor bleeding.
• Always observe the applicable guidelines.
• Using the device on children requires a lower vacuum setting. Observe the instruc-
tions issued by the attending physician.
• The device must only be operated by persons who have been briefed on its medical
use.
• Observe the accompanying operating instructions for all accessories.
• Observe the notes on hygiene and cleaning.

17
For your safety
WARNING
Reduce the risk of infection for you and your patients!
Risk of deadly diseases being transmitted.
• Always wear disposable gloves.
• Never use components marked with 2more than once.
• Always use a suitable sterile catheter for suction. The suction hose must never
come into direct contact with the application site.
• Only use sterile packaged parts if their packaging is undamaged.
• Neveroperatethedevicewithoutabacterialandvirallter.Beforeeachuse,check
thatthebacterialandvirallterisdryandcleantoensurethatitoperatescorrectly.
WARNING
Protect yourself against an electric shock!
Damage from incorrect power supply.
• Risk of burns, cardiac arrhythmias and even fatal injury.
• ATMOS C 161 Aspirator and ATMOS C 261 Aspirator
- Prior to start-up, check whether the voltage and frequency data listed on the
device correspond to the values of the mains power supply.
• ATMOS C 161 Battery
- Before switching on the device, make sure that the power supply grid is designed
for connecting a device that operates in the range from 100‒240 VDC at a grid
frequency of 50/60 Hz. Use only the included recharging unit for the device.
• Do not operate the device in damp rooms, bathrooms or shower cubicles. Keep the
recharging unit, control panel and mains power connection point dry.
• Do not use the device in areas where there could be a torrent of water.
• Never immerse the device in water or other liquids.
• Do not operate the device if it has been dropped. In this case, please clean the
device and send it in to ATMOS for repair.
• Disconnect the device from the mains power supply prior to cleaning or disin-
fection.
• Prior to each use, check for damage to the device and power cable/recharging unit
incl. power cable. Do not operate the device if you notice any damage. In this case,
please clean the device and send it in to ATMOS for repair.
• Ensure that no liquid penetrates the device. If liquid gets into the device, operation
of the device must cease immediately. In this case, please clean the device and send
it in to ATMOS for repair.
• The electrical suction devices are not sterilisable.
• Only use the power cable/recharging unit incl. power cable in dry environments.
• Always use the power cable/recharging unit incl. power cable in accordance with the
operating instructions.
• Only use original accessories and original spare parts from ATMOS.
• Observethespecicationsregardingperiodictestsinchapter“6.0Wartungund
Service” on page 42.
• Assembly, new settings, alterations, extensions, and repairs may only be carried out
by authorised persons.

18 For your safety
• Do not modify the device without the manufacturer’s permission.
WARNING
Explosion and  re hazard!
Burns and injuries are possible.
• Neversuctionanyexplosive,ammable,orcorrosivegasesorliquids.Refertothe
explanations under intended use.
• Never operate the product in potentially explosive areas or areas that are
oxygenated.
• Only use original accessories and original spare parts from ATMOS.
WARNING
Risk of suffocation or strangling for children and animals through accessory
parts!
Smallpartsmaycausechildrenoranimalstosuocateorbeinjured.
• Hoses, power cables and recharging units incl. power cables can strangle people or
animals, especially if they are particularly long.
• Keep unauthorised persons away from the device during suction.
• Keep children away from small parts that might be swallowed.
• Keep the device and all its accessories out of reach of children until the next use.
WARNING
Contact may cause allergic reactions!
The materials used have been tested for their tolerability. In very rare cases, contact
with accessible materials on the device and its accessories may cause allergic reactions.
This applies in particular to contact injuries in conjunction with prolonged contact. If
this occurs, seek medical attention immediately.
WARNING
Tripping hazard from cables!
Injuries and fractures are possible.
• Lay the power cable/recharging unit incl. power cable properly.
2.3 Avoiding damage to the device
ATTENTION
Damage to device due to heat build-up!
Risk of damage to the device.
• Do not cover the device during suction. When the device is placed on a soft surface
(e.g. a pillow or mattress), there is a risk of the ventilation slots being covered,
causingtheproducttooverheat.Alwayskeepthedeviceuprightandonarm
surface during operation.
• Keep the device and its power cable/recharging unit incl. power cable away from
other sources of heat.
• Do not place the device directly next to other devices as this may cause excessive
heating of the device.
ATTENTION
Storage and operation in an unsuitable environment!
The device may become damaged.

19
For your safety
• Please observe the ambient conditions regarding transport, storage, operation and
recharging of the battery.
• After transporting the device at low temperatures, keep it at room temperature for
up to six hours before initial start-up. If the device has not acclimatised, it may
suerinternaldamage.
ATTENTION
Damage to the device due to improper use!
The device may become damaged.
• Ensure that no liquid enters the device. Once liquid has entered the device, it may
no longer be used. In this case, please clean the device and send it in to ATMOS for
repair.
• Alwaysplacethedeviceonrm,levelsurface.Thedevicemustalwaysbeina
vertical position when you use it.
• If you are using the trolley, the device is only permitted for use when the trolley
brakes are engaged.
• Use a functional power cable/recharging unit incl. power cable.
• Never switch the device on while a vacuum (over 40%) is being applied. If the pump
is switched on while a high vacuum (> 40%) is being applied, the device will switch
oautomatically(safecondition).Itcannotbestartedupagainuntilthevacuum
has been ventilated.

20 Setting up and starting up
3.0 Setting up and starting up
Alwaysplacethedeviceonarmandlevelsurface.
3.1 Device overview – ATMOS C 161 Aspirator and ATMOS
C 261 Aspirator
Vacuum display
Vacuum regulator
Sliding cover for covering the
controls
Hose holder
Connection for suction hose
Carry handle
Hydrophobic DDS bacterial and viral
lter
Mainsconnectionwithon/oswitch
3.1.1 Connection
Prior to start-up, check whether the voltage and frequency data listed on the device
correspond to the values of the mains power supply.
Check the power cable for any damage. Damaged power cables must be replaced
immediately.
3.1.2 Start-up
• The ATMOS C 161 Aspirator and ATMOS C 261 Aspirator are delivered ready for
operation.
• Remove the device from the packaging. Check whether the voltage on the type plate
corresponds to the mains power supply.
• Alwaysplacethedeviceonarmandlevelsurface.
• Always read the safety information in the “2.0 For your safety” on page 16 chapter
beforestartingupthedeviceforthersttime.
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